John Monroe Cuetara, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7201 Issued in MA

Practice address

22 Mill St
Suite 407
Arlington, MA 02476-4784

Phone

(781) 488-3294

Fax

(781) 488-3254

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366593386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PITCHER AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552106",
            "telephone_number": "781-488-3294",
            "fax_number": "781-488-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 407",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-488-3294",
            "fax_number": "781-488-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETARA",
        "first_name": "JOHN",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1895613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald P. Criscitiello, M.D
• Barbara Ann Crosby
• Jesse M. Crosby, PH.D.
• Mary Ellen J Crowley, PH.D.
• Timothy Crowley, MD
• Jennifer Sheehan Cullen, CF-SLP
• Robert Clyde Cummins, PH.D.
• Patrick M. Cunningham, LIC. AC.
• Marycatherine Curran, IBCLC, RLC
• Roseann Cutroni, RD

• Clinical Psychologist in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.